2025CCRegistrationAndLiabilityWaiver Logo
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  • Registration & Liability Waiver

    Thank you for volunteering for the Community Cleanup. Please fill out this form to complete your registration for the event. It will make check-in time faster.
  • Districts:

    1: West Leonard @ WGNO - 754 Leonard St. NW Suite B
    2: Stockbridge @ Lincoln Park - 1120 Bridge St. NW
    3: West Fulton @ John Ball Zoo - 1300 W. Fulton
    4: Roosevelt Park @ Cesar E. Chavez Elementary -1205 Cesar Chavez Ave. SW
    5: Las Canchas @ 250 Seward Ave. NW
    6: Garfield Park @ GPNA - 334 Burton St. SE
    7: Creston Plaza @ Creston Plaza Apts. - 1080 Creston Plaza Dr. NE
    8: Creston @ CNA - 205 Carrier St NE
    9: Eastgate @ 1813 Boston St. SE
    10: Belknap @ Coit Park - 727 Coit Ave. NE
    11: Monroe North @ 6th Street Park - 647 Monroe Ave. NW
    12: Boston Square @ BSNA - 1505 Kalamazoo Ave. SE
    13: Mulick Park @ Mulick Park - 1632 Sylvan Ave. SE
    14: Mount Mercy @ Mount Mercy Apts. - 1425 Bridge St. NW
    15: Adams Park @ Adams Park Apts. - 1440 Fuller Ave. SE
    16: Campau Commons @ Campau Commons Apts. - 821 Division Ave. S.

    Group Specific:
    Rockford Construction 

    Each district check-in is hosted by a group at a specific location. Choose the location closest to where you would like to cleanup.

  • Please Note: All Adults 18 & Up should fill out this form individually. Including adult children in your household.

    If you are a parent or guardian that is bringing minors with you to the event, you will get prompted to list them later on. Please only have one parent or guardian sign the child or children up so they are not counted twice.

  • Contact Information

    Please Complete
  • About this Question: 

     

     Myself - Pick this option if you are signing up as an individual. 

     

     

    Family/Household - Pick this option if you are one adult signing up for minor children. Other adults in your household, including adult children should sign themselves up using the For "Myself" option to this question. 

     

    Business/Organization - Pick this option if you are signing up to volunteer with a school, business or organization. You can list your business/organization name when doing this. You will have the option to list minor children too. Each adult must sign up individually.

  • Business or Organization Contact Information

    Please complete.
  •  

      

    There are Sponsorship Opportunities

    available for the

    Community Cleanup.

  • Please choose "No" if the minor will be signing up for the event under another adult in your household.

  • Parents and Guardians of Minor Children:

    Please make sure that another adult has not signed up your minor children to reduce duplicate sign ups. Adults should sign up separately. Please complete.
  • Neighborhood Associations

    Did you know that the City of Grand Rapids has over 20 neighborhood associations? Some are funded through grants and donations, others are volunteer based. They work on Neighborhood Leadership which includes events like the Community Cleanup and other volunteer opportunities. Additionally, they work on public safety, provide information and resources to neighbors. If you are interested in learning if you have one in your neighborhood, learning more about them and how you can support the work they do, let us know here. Thank you again for volunteering for this important event!
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  • Release of Liability Agreement

    Please read carefully.
  • I have agreed to participate in a project for the Community Cleanup. My participation is voluntary, and I understand that I will not be compensated for my participation. I release and hold harmless Community Cleanup, its affiliates, subsidiaries, and their respective officers, directors, employees, agents, successors and assigns (“Community Cleanup”) from any and all claims associated with any injury sustained by me or to my property that may arise from my participation in this event. I knowingly and freely assume all risks associated with my participation in this event. If I discover a condition that is unsafe, I will bring it to the attention of the event organizers. I understand and agree that this release is intended to be as broad and inclusive as is permitted by the laws of the state in which this event takes place and that if any portion of this Agreement is held invalid the balance of it shall continue to be in full force and effect.

    In addition, I irrevocably grant Community Cleanup permission to use my name, likeness, performance, and voice as part of photography, video, or other recordings of Community Cleanup (the “Recordings”). Community Cleanup may copy, edit, and create derivative works from the Recordings, and display and distribute the Recordings (as well as derivative works) in any manner and in any media, now known or later developed. For example, Community Cleanup may use of photographic stills and video clips from the Recordings in marketing materials to promote Community Cleanup or other Community Cleanup products or services, which may be distributed through broadcast, print, and online media. I understand, acknowledge and agree that Community Cleanup’s use of the Recordings, either itself or at its direction, shall be royalty free, perpetual, and worldwide. I waive any right to inspect or approve the Recordings and release Community Cleanup from any and all claims arising from the Recordings. I affirm that the grant of rights and consents described herein do not conflict with any other agreement or requirement to which I am subject. I acknowledge that Community Cleanup will rely on this Agreement and therefore agree not to assert claims of any nature whatsoever against anyone in connection with Community Cleanup’s exercise of the rights granted hereunder. This waiver shall be binding on my heirs and assigns.

    By signing below, I acknowledge that I have read and understand the terms of this Agreement, verify the accuracy of the information set forth herein and confirm that I have the authority to enter into this Agreement. I acknowledge that I am giving up significant legal rights by signing this form.

    If applicable, I acknowledge that I am the parent or legal guardian of the minor child(ren) registered above. By signing below, I acknowledge and agree that the releases, permissions, consents and waivers set forth above are applicable to my minor children to the fullest extent permitted by applicable law. I further acknowledge and agree that I am solely responsible for supervising my children during the event.

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  • Stay updated about the Cleanup!

    To stay updated on the cleanup, consider doing the following things:
  • Like the Community Cleanup on Facebook!

  • Be sure to check your email for your confirmation information. You will need this information the day of the cleanup at check in.

    You can subscribe to the Community Cleanup Email List link in the email to get updates, news and future cleanup events. Let us know if you would like to be on the list!

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